Miosotis De Leon, LIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15529 Issued in PR

Practice address

Bo Guaraguao
Carr 833 KM 1.0
Guaynabo, PR 00969

Phone

(787) 222-3395

Fax

(787) 222-3395

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Miosotis De Leon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1942957634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SILVIA REXACH",
            "address_2": "URB ESTANCIAS DEL ROCIO 492",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-210-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO GUARAGUAO",
            "address_2": "CARR 833 KM 1.0",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-222-3395",
            "fax_number": "787-222-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "MIOSOTIS",
        "credential": "LIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIOSOTIS",
            "last_name": "DE LEON",
            "prefix": "MRS.",
            "credential": "TS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Myriam De Jesus
• Kristina A De la Mata
• Norman Javier De la Rosa, M.D.
• Angel Josue De la Torre Gonzalez, M.S.
• Gloria J. De Leon, RPH.
• Noel S De Leon, MD, FACS
• Maria Isabel De Puigdorfila, PSY.D.
• Maria Mercedes De Thomas, D.M.D.
• Edgardo Degro Santiago, 1577P
• Mark A Dejesus Gonzalez, 1311P

• Clinical Social Worker in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.